Organization
JIVANLAL M. PATEL, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIVANLAL M. PATEL M. D. (PRESIDENT)
(814) 849-4442
Entity
Organization
Contact information
Practice address
2834 MAPLEVALE RD, BROOKVILLE, PA 15825-2318
(814) 849-4442
(814) 849-6388
Mailing address
2834 MAPLEVALE RD, BROOKVILLE, PA 15825-2318
(814) 849-4442
(814) 849-6388
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008053050005
—
PA
01
—
1453660
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/29/2005
Last updated
11/26/2007
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